[The effects of renin-angiotensin system blockade on the liver steatosis in rats on long-term high-fat diet].

Zhonghua nei ke za zhi Pub Date : 2008-03-01
Ying-Hua Chen, Li Yuan, Yuan-Yuan Chen, Cui-Juan Qi
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Abstract

Objective: To observe the relationship between liver steatosis in rats with long-term high-caloric and high-fat diet and the expression of angiotensinogen (AGT), uncoupling protein 2 (UCP-2) and transforming growth factor beta1 (TGFbeta1). Then angiotensin-converting enzyme inhibitor (ACEI) and angiotensin II receptor blocker (ARB) drugs were given to investigate whether rennin-angiotensin system (RAS) blockade can mitigate the liver steatosis and to probe its mechanisms.

Methods: Forty male Wistar rats were divided into normal control group (NC group, n = 10), high-calorie and high-fat fed group (HF group, n = 10), ARB treated group (AR group, n = 10) and ACEI treated group (AE group, n = 10). Rats were fed with high-calorie and high-fat diet and given RAS inhibitor drugs (valsartan 40 mg/kg to the AR group and perindopril 4 mg/kg to the AE group) for eight weeks. Serum TG, free fatty acids (FFAs) lever and the fat content in liver were then measured with biochemical tests; insulin resistance was evaluated with euglycemic hyperinsulinemia clamp technique, the expression of UCP-2 and TGFbeta1 in liver tissue were examined with immunohistochemical staining and AGT mRNA, UCP-2 mRNA and TGFbeta1 mRNA were tested with RT-PCR.

Results: With the administration of RAS inhibitor drugs, following changes were observed. The levels of TG and FFAs and the fat content in liver decreased (P < 0.01 or P < 0.05), insulin resistance in high-fat fed rats was improved (P < 0.05), liver steatosis, inflammation and fibrosis were mitigated. The levels of UCP-2 decreased by 36.5% (P < 0.05) in AE group and 42.5% (P < 0.05) in AR group and TGFbeta1 decreased by 37% (P < 0.05) in AE group and 41.6% (P < 0.05) in AR group as compared with the HF group with immunohistochemical staining. The expression of AGTmRNA decreased by 14.9% (P < 0.05) in AE group and 21% (P < 0 .05) in AR group, UCP-2 mRNA decreased by 9% (P < 0.05) in AE group and 11% (P < 0.05) in AR group and TGFbeta1 mRNA decreased by 17% (P < 0.05) in AE group and 19% (P < 0.05) in AR group as compared with the HF group with RT-PCR.

Conclusions: RAS blockade could improve insulin resistance, mitigate the liver injury of long term high-fat fed rats and have a protective effect on liver. The mechanism may be associated with the effects of improved insulin resistance, the interaction within RAS and the down-regulation of UCP-2 and TGFbeta1 in liver tissue.

肾素-血管紧张素系统阻断对长期高脂饮食大鼠肝脏脂肪变性的影响。
目的:观察长期高热量高脂肪饮食大鼠肝脏脂肪变性与血管紧张素原(AGT)、解偶联蛋白2 (UCP-2)和转化生长因子β 1 (tgfβ 1)表达的关系。然后给予血管紧张素转换酶抑制剂(ACEI)和血管紧张素受体阻滞剂(ARB)药物,观察肾素-血管紧张素系统(RAS)阻断是否能减轻肝脏脂肪变性,并探讨其机制。方法:将40只雄性Wistar大鼠分为正常对照组(NC组,n = 10)、高热量高脂肪喂养组(HF组,n = 10)、ARB治疗组(AR组,n = 10)和ACEI治疗组(AE组,n = 10)。大鼠饲喂高热量、高脂肪饲料,同时给予RAS抑制剂药物(AR组缬沙坦40 mg/kg, AE组培哚普利4 mg/kg) 8周。采用生化试验测定血清TG、游离脂肪酸(FFAs)水平和肝脏脂肪含量;采用正糖高胰岛素血症钳夹技术评估胰岛素抵抗,免疫组化染色检测肝组织中UCP-2和TGFbeta1的表达,RT-PCR检测AGT mRNA、UCP-2 mRNA和TGFbeta1 mRNA的表达。结果:随着RAS抑制剂药物的使用,观察到以下变化。高脂喂养大鼠肝脏中TG、FFAs水平和脂肪含量降低(P < 0.01或P < 0.05),改善胰岛素抵抗(P < 0.05),减轻肝脏脂肪变性、炎症和纤维化。免疫组化染色与HF组比较,AE组UCP-2降低36.5% (P < 0.05), AR组降低42.5% (P < 0.05), TGFbeta1降低37% (P < 0.05), AR组降低41.6% (P < 0.05)。与HF组相比,AE组AGTmRNA表达量下降14.9% (P < 0.05), AR组下降21% (P < 0.05), UCP-2 mRNA表达量下降9% (P < 0.05), AR组下降11% (P < 0.05), TGFbeta1 mRNA表达量AE组下降17% (P < 0.05), AR组下降19% (P < 0.05)。结论:RAS阻断可改善长期高脂喂养大鼠的胰岛素抵抗,减轻肝损伤,对肝脏有保护作用。其机制可能与改善胰岛素抵抗的作用、RAS内部的相互作用以及肝组织中UCP-2和TGFbeta1的下调有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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